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Nursing care as provided to ante finem patients
JANSOVÁ, Markéta
The subject of death and dying is still considered a taboo in our society. It is awkward and anachronistic since our times require people full of life and vigor. The terminally ill are often snubbed by the society. Though being well aware of the unfavorable prognosis, many a doctor tries to treat the patients to the very last moment, and he or she perceives the death as a personal defeat. In 1967 Cicely Saunders, an English doctor familiar with the dismal conditions of dying in the then society, founded in London the St. Christopher's Hospice, the first modern facility of this kind. The philosophy of this effort has been perpetuated in the Hospice of the Agnes of Bohemia established in 1995 as the first hospice in the Czech Republic. The Bachelor Paper aimed to assess the possibilities of providing the ante finem care by health-care personnel at a hospital and a hospice. The Paper investigated these hypotheses: H1 - Health-care workers provide the ante finem patients with health care in conformity to the standards applicable to both types of the facilities; H2 - Approach of the personnel to the care is dependent on their emotional stability; H3 - Health-care personnel in hospitals are not aware that the art of accompanying is a part of the nursing process. The surveyed sample was compiled of nurses on the staff of the Internal Medicine Ward and the Post-Treatment Ward of hospitals in České Budějovice, Jihlava and Třebíč and the hospices in Prachatice, Červený Kostelec and Brno. The data were gathered through a questionnaire. Altogether 170 questionnaires were distributed and 136 out of them were processed in the final assessment. As follows from the assessment results, the care provided to the terminally ill patients in hospitals is affected primarily by time pressures and by the fact that the nursing staff are not fully aware of the possibilities that palliative care offers, while in hospices the conditions available for the palliative care have a quality basis. Results of the Paper will be given to one of the hospitals and two hospices specified above, where they can inspire some new ideas about possible improvement in providing the palliative care.
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Nursing Care For The Dead {--} Theory and Practice
HOUFKOVÁ, Petra
The topic of my thesis is Nursing care for the dead. My intention was to find out whether nurses treat the dead body with respect and piety. The work is divided in two parts: theoretical and practical. Its theoretical part describes the death from the historical point of view, nursing care for the dead body and individual stages of dying are mentioned. Last but not least neither survivors are forgotten, since the loss of a close person is always the most difficult situation in their life. The aim of my thesis is to find out how nurses approach the care for the dead and what they feel when treating the dead body. On the basis of these aims the following hypotheses were formulated: 1. Nurses caring for the dead observe the ethical attitude. 2. Nurses do not perceive treating the dead body as a positive part of nursing care. After all modern nursing leads us to a more profound reflection and possibility of improving the ethical attitude and expressing the dignity to the dead.
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A Man during a Loss of a Close Person, Pedagogic Approach and Prevention
HLINÁKOVÁ, Ludmila
The work deals with the issue of a loss of a close person. The theoretical part describes several attitudes towards death, different views of death, the loss of a close person and the process of coping. The work also mentions several ways of how to help and pedagogic approach towards children that encountered death. The practical part consists of a quality survey in the form of controlled conversations. The conversations were conducted with people that experienced death of a close person in their childhood. This section also contains a suggestion for an appropriate approach to help these children to overcome the loss. Aducational approach trying to make the issue of death more accesible for children not yet affected with the loss is included. The suggested solutions are for children of the early, middle school age and for adolescents are dealt with separately.
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Suffering, dying and death in prehospital care
MAJSTR, Jiří
This thesis is topically focused on suffering, dying and death of a patient (patients) in fore hospital urgent care. It deals with above mentioned phenomena from the paramedic point of view. It refers to the impact of these events on paramedics, their perception of patients at sudden worsening of chronic disease, acute worsening of health state, immediate life threatening or death. The aim of the thesis is to map and interpret the attitude of addressed paramedics to given facts, which they normally encounter in their practice, and the evaluation of reflexive projection of above mentioned experiences into ethical attitude to the patients. The thesis is based on qualitative research. It uses the methods of controlled interview with ten chosen paramedics who have different period of professional practice. The dialogues are transcribed in the chapter called Results of Research. In the thesis the answers to particular questions are compared and the results of the research are the hypotheses which can be evaluated by means of quantitative research in the future.
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Intergenerational opinions on euthanasia
EXNEROVÁ, Jitka
I have chosen the topic of euthanasia for my bachelor´s thesis. I find the topic fairly problematic and it is frequently discussed in the media as well. On the other hand, there is palliative medicine which is rarely spoken about. In my thesis I wanted to highlight the possibilities of palliative care which seem to be neglected in our society and to underline possible risks of euthanasia. Moreover, I wanted to find out which factors influence the opinions on euthanasia in individual age groups. I was interested in the way people look upon euthanasia and palliative care. The thesis includes a theoretical and a practical part. The theoretical part deals with euthanasia, palliative care, pain, suffering, dying and death. In the practical part there are examples of abbreviated dialogues connected with this topic. In order to gain necessary information I have chosen the method of qualitative research and that of a narrative and semicontrolled dialogue. All the dialogues were recorded on a dictaphone with the consent o feach addressed person and then transferred into written form. They were abbreviated and preserved in colloquial language form for the sake of their authenticity. Some people wanted me to ask them questions. I have found out that palliative care still presents an unknown quantity for most people and the word hospice makes them feel scared, they have distorted ideas. On the contrary, they are pretty familiar with the word euthanasia, almost all of them have come across it and know what it is about. I have decided on four age categories. I have addressed at least one woman and one man from each category to be able to hear the opinion of both sexes. Respondents were chosen by chance. During the research I have found out that the intergenerational opinions on euthanasia are becoming less contradictious. I suppose that the goals of my thesis have been reached. Taking the information which has been found out into consideration it would be of great benefit if the media and the responsible organisations would provide our society with more information about the possibilities of palliative care.
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Care for the Dying in Hospice Facilities
PTÁČEK, Jan
This Thesis deals with the issue of illness and dying, and the care for the dying in different hospice facilities. In describes typical features of palliative medicine, it´s practical use in hospices and also the lack thereof in current Czech Medicine. The legislative side of this issue is discussed in this thesis as well.
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The Abortion and Euthanasia as an Issue of the theme of Process of Dying and Death for the Lessons of Ethics on the Secondary Schools
SEKYRKOVÁ, Michaela
The thesis deal with the topic of induced abortion and euthanasia as the basic issue of the theme of process of dying and death. The theoretical part presents how an acceptation of death have been changing during the human history, deals with the concept of after-life in five world religions, presents how death is perceived in different life period, gives the analysis of abortion and euthanasia as an issue of ethics. The second part od the thesis is to serve as the background material to design lessons of ethics for the secondary schools according to the RWCT program (Reading and Writing Critical Thinking). The aim is to depict the topicality and importance of these issues that a disciple is not only to meet during the lesson, but also to be able to handle, to judge and to draw conclusions for his behaviour.
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Accident frequency and its social effects
VLÁSEK, Vladislav
The thesis ``Accident frequency and its social effects{\crqq} focuses on traffic accidents caused by trespassing the law of speed limit and on social effects induced by accident frequency. Every year approximately one thousand people die on the Czech roads, other thousands of traffic accident victims face lifelong injury consequences. Apart from direct loss of lives, health and property, the traffic accidents carry a lot of other hardly denumerable costs starting at financing trip of ambulance, continuing with health care service expenses followed by convalescence, eventually social benefits for disabled and impacts on relatives of traffic accident victims. The aim of this work is to map the situation of serious traffic accidents where participants are seriously injured, or die and to infer the most serious social effects of these traffic accidents. To gather information in order to meet the objective of this hypothesis and to prove it a quantity research has been carried out. Secondary analysis of data from the records of Police of Czech Republic and the Ministry of the Interior has been chosen as a method to help verify the correctness of presumed hypothesis. In order to map the most serious social impacts, dialogs with randomly selected traffic accident participants who suffered lifelong consequences of their injuries were performed. The primary file contains participants of traffic accidents that happened in the Czech Republic and are registered in the registry of Police of Czech Republic in the period 2003-2006 and where the participants died, were seriously or lightly injured. Our hypothesis proven, that the most serious consequences of traffic accidents happen due to exceeding the speed limits . Also the most serious social impacts of traffic accidents were mapped.
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